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Arizona rates for HCPCS 95811

Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist

Facilitymedian $347 · 10th–90th $191$4570%20%10th90th$347Professionalmedian $550 · 10th–90th $126$1,2300%5%10th90th$550$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $354.81 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $194.98 / $562.34
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $295.12 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $630.96 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $602.56 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $109.65 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $218.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $524.81 / $977.24
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $138.04 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $912.01 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $177.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $954.99 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $194.98 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $758.58 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $794.33 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $645.65 / $1,047.13